纽约市西班牙裔/拉丁裔和黑人青少年对补充和替代医学和哮喘药物的看法。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-10-08 DOI:10.1016/j.pedn.2025.09.029

Celine R. Esguerra, Aisha Naseem, Maya R. Castiblanco, Yihong Zhao PhD, Maureen George PhD, RN, AE-C, FAAN, Jean-Marie Bruzzese PhD

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引用次数: 0

摘要

背景：补充和替代医学（CAM）信念和对吸入皮质类固醇（ICS）的负面信念都与哮喘控制不良有关。少数族裔成年人的CAM使用和ICS信念得到了很好的研究；对少数民族青少年的CAM和ICS信仰知之甚少。我们描述了城市西班牙裔/拉丁裔和黑人青少年未控制哮喘的CAM和ICS信念，并探讨了种族和民族的差异。方法：本横断面研究是对纽约市一项哮喘干预未控制青少年试验（n = 212）基线数据的二次分析。青少年完成了哮喘常规和替代管理（CAM-A）问卷调查。回归分析探讨了CAM和ICS信仰与种族和民族之间的关系。结果：大多数青少年认同至少一项CAM信念（9项中的平均值= 4.41,SD = 1.83）。在报告服用ICS的青少年中，大多数（67.3%）认同两个或更少的负面ICS信念（6项中的平均值= 1.93,SD = 1.47）。与同时被认为是西班牙裔/拉丁裔和黑人的青少年相比，那些只被认为是西班牙裔/拉丁裔的青少年更有可能相信Vicks VapoRub™是有益的（OR = 3.44, 95% CI = 1.55, 7.64），而那些只被认为是黑人的青少年更有可能表达对ICS的负面看法（OR = 1.90, 95% CI = 1.08, 3.34）。结论：西班牙裔/拉丁裔和黑人青少年认为CAM对他们的哮喘有帮助。他们对ICS也持有类似的负面看法。实践意义：研究结果强调了护士在哮喘相关医疗访问期间与青少年解决CAM和ICS信念的重要性，并支持文化响应，循证哮喘教育和管理策略。

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Beliefs about complementary and alternative medicine and asthma medication among Hispanic/Latinx and Black adolescents in New York City

Background

Complementary and alternative medicine (CAM) beliefs and negative beliefs regarding inhaled corticosteroids (ICS) are each associated with poor asthma control. CAM use and ICS beliefs are well studied among minority adults; little is known about minority adolescents' CAM and ICS beliefs. We describe CAM and ICS beliefs among urban Hispanic/Latinx and Black adolescents with uncontrolled asthma and explore differences by race and ethnicity.

Methods

This cross-sectional study is a secondary analysis of baseline data from a trial testing an asthma intervention in adolescents with uncontrolled asthma in New York City (n = 212). Adolescents completed the Conventional and Alternative Management for Asthma (CAM-A) questionnaire. Regression analyses explored relationships between CAM and ICS beliefs and race and ethnicity.

Results

Most adolescents endorsed at least one CAM belief (mean = 4.41 of 9 items, SD = 1.83). Among adolescents who reported taking an ICS, most (67.3 %) endorsed two or fewer negative ICS beliefs (mean = 1.93 of 6 items, SD = 1.47). Compared to adolescents who identified as both Hispanic/Latinx and Black, those who identified solely as Hispanic/Latinx had higher odds of believing Vicks VapoRub™ is beneficial (OR = 3.44, 95 % CI = 1.55, 7.64), while those who identified solely as Black had higher odds of expressing negative beliefs about ICS (OR = 1.90, 95 % CI = 1.08, 3.34).

Conclusion

Hispanic/Latinx and Black adolescents believe that CAM can help their asthma. They also hold similar negative beliefs regarding ICS.

Implications for Practice: Findings underscore the importance of nurses addressing CAM and ICS beliefs with adolescents during asthma-related healthcare visits and supporting culturally responsive, evidence-based asthma education and management strategies.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.